Jersey Shore Bulldogs Bash

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There is a small fee for changes to an entry after it has been submitted
Wrestler's Name

First NameLast Name
Division
Age Group
Weight
If the above information is not correct, you can use the back button to go back and correct it

Parent/Guardian Release Statement

In Consideration of your Acceptance of my entry form, I intend to be legally bound hereby for myself, my heirs and assigns and waive any and all claims to damages which I have against the Jersey Shore Wrestling Boosters the parents involved, the referees involved, and the Jersey Shore School District and anyone involved in the Tournament.
Parent/Guardian Release
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------------------PLEASE NOTE ----------------

You are fully registered to wrestle once you have completed the registration form and payment is complete. PYW or the tournament will not be responsible for your entry if the submission and payment were not submitted. A $5 non-refundable processing fee included in online registration. If you have trouble with your online payment you can email us at pywrestlingmark@yahoo.com

Wrestler Entry

$30.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please Carefully Double Check Your Entry Information